Professional Documents
Culture Documents
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STUDENTS NAME: ADDRESS: EMAIL: Parents' or Guardians' Names: HOME PHONE: ( ) WORK PHONE: ( LocalEmergency Contact(in c a separent(s)are out of town): ) CELL: ( ) GRADE BIRTHDATE: CITY: AGE: ZIP:
MALE FEMALE
Name:
PHONE: (
LIABILITY RELEASE
Every activity sponsored by this church is carefully planned and adequately supervised by mature adults. However, even with the best of planning and precaution, unforeseen events can occur. By signing this form, you agree to assume and accept all risks and hazards inherent in church-related social and sport activities including transportation to and from activities. You also agree that you will not hold Renaissance Church or its employees or volunteer assistantsliable for damages,lossesor injuries to the person named on this form. You understand that this form and your signature are for both medical and liability release.
INSURANCE:
Our church's insurance is only secondary insurance. If you have medical insurance, your carrier will be billed for medical charges in the case of illness or injury while participating in activitiesor on the church premises.
Date: